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SALLY-ANN P JOHANNSEN PA
NPI 1639234610
Physician Assistant - Medical in Madison, WI

Active since December 27, 2006
717 HIDDEN CAVE RD, MADISON, WI 53717(608) 203-5309 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 5, 2020, May 24, 2019, May 13, 2019 and 2 more (5 updates tracked since 2016).

About Sally-ann P Johannsen Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY-ANN P JOHANNSEN PA (NPI 1639234610) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (3502-23) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1639234610
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSALLY-ANN P JOHANNSENCredential: PA
Location Address717 HIDDEN CAVE RDMadison, WI 53717-2755
Mailing Address717 Hidden Cave RdMadison, WI 53717-2755
Phone(608) 203-5309
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateFebruary 5, 20205 updates tracked since enumeration
✔ NPI 1639234610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 3502-23
717 HIDDEN CAVE RD, Madison, WI 53717
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally-ann Johannsen's NPI number?

The NPI number for Sally-ann Johannsen is 1639234610. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Sally-ann Johannsen located?

Sally-ann Johannsen practices at 717 Hidden Cave Rd, Madison, WI 53717. The listed phone number is (608) 203-5309.

What is Sally-ann Johannsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sally-ann Johannsen was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.